Marsella Jimeno-Peralta

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11031504 Issued in FL

Practice address

1604 Town Center Blvd
Weston, FL 33326-3640

Phone

(954) 349-2094

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oneplus Healthcare Group, LLC

  • Family Medicine Physician
  • Miami Gardens, FL
  • NPI 1811471774
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1790541852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SW 173RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295047",
            "telephone_number": "754-610-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-349-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENO-PERALTA",
        "first_name": "MARSELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11031504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Alexandra Jimenez Moore, PA-C
• Katarzyna Jimenez, ARNP
• Marianne Jimenez
• Nicole Marie Jimenez, PSY.D.
• Otoniel Jimenez, AFRNP
• JM Hosseini DMD PLLC
• Nathan Alexander John, MD
• Jessica Johnson, LPTA
• Tyler Johnson, DC
• Ursula Johnson

• Primary Care Nurse Practitioner in Weston, FL
• Providers in Weston, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.